| NPI | 1457621674 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN200002701) | 
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: DC LPN1006378) | 
| 374U00000X Home Health Aide | |
| Enumeration Date | 2012-01-04 | 
| Last Update Date | 2024-09-04 |